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Past Event

An Economic Studies and Engelberg Center for Health Care Reform Event

Can We Say No?: The Challenge of Rationing Health Care

Health Care, U.S. Economy

Event Summary

Health care reform is back on the national agenda, with President Bush using the State of the Union address to call for expanding health savings accounts, limiting medical malpractice claims and medical errors, and helping workers switch jobs without losing their current health plans. But with health-care costs as a share on national income triple what they were in 1950; the focus seems to be more on restraining costs than increasing access.

Event Information

When

Tuesday, February 07, 2006
9:30 AM to 11:30 AM

Where

Falk Auditorium
The Brookings Institution
1775 Massachusetts Avenue, NW
Washington, DC 20036
Map

Contact: Brookings Office of Communications

Email: Communications@brookings.edu

Phone: 202.797.6105

On Feb. 7, Brookings will hold the third in a series of ongoing discussions designed to deepen its health policy research and find practical approaches to health-care policy issues. At this Brookings briefing, Senior Fellow Henry Aaron, author of Can We Say No? The Challenge of Rationing Health Care (Brookings, 2005), will join other health-care experts in discussing current trends. The panel will look particularly at the pros and cons of rationing health care, looking especially at lessons learned from the British experience. Robert Reischauer, president of the Urban Institute, will moderate the discussion.

After remarks, there will be a question and answer session.

Transcript

HENRY AARON: I don't know whether we're going to ration, I don't know if we ration how we're going to do it, but I do know that if we do not ration, we are going to be spending a very great deal of money on health care services, an increasing absolute amount of which is not going to be worth what it costs society to provide. I think I know that deductibles or other forms of cost-sharing, as my edge toward today's political debate, is not going to do the job of controlling spending because the great majority of health care spending occurs during episodes that cost far more than any deductibles now under discussion. Just as a number, about 80 percent of health care spending occurs for patients whose annual outlays exceed $4,000 a year.

Participants

Moderator

Robert D. Reischauer

President, Urban Institute

Panelists

Len Nichols

Director of the Health Policy Program, New America Foundation

Mark Pauly

Bendheim Professor of Health Care Systems, University of Pennsylvania

Michael Chernew

Professor, Departments of Health Management and Policy, Economics, and Internal Medicine University of Michigan

Presenter

Henry J. Aaron

Senior Fellow, Economic Studies


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